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General NPI Number Information
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NPI Number | 1144622259
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Entity Type | Organization
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Legal Business Name | 518 PHARMACEUTICAL SERVICES LLC
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Dates
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Enumeration Date | 09/19/2014
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 13230 FM 1764 RD STE B
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City | SANTA FE
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State | TX
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Zip | 77510-9673
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Country | US
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Telephone | 409-925-9995
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Fax | 409-925-9991
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Provider Business Mailing Address
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Address Line | 13230 FM 1764 RD STE B
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City | SANTA FE
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State | TX
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Zip | 77510-9673
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Country | US
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Telephone | 409-925-9995
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Fax | 409-925-9991
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. ANDREW COLIN MCDONALD II
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Credential | PHARM.D.
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Telephone | 409-750-1005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 29523
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License Number State | TX
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